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i <br /> � � �z� <br /> r .. �I� / � � <br /> / � <br /> Dato 7���/�� <br /> � , <br /> APPLICATION for __ R� '����� R�K� ST: 514H �..,. LtlF �/Fi✓ ��� S/� <br /> baJ In'y�S:. tlla� <br /> 7.'ho imderaigned owner hereby agrees to hold and save harm7.e`sa tfie-City <br /> of Evr.rett from any and all claims for damages that maq ariso becanse"of" <br /> inotaJ.lation of the inprovenent hereto applied for, and iltrthez agrees-�o <br /> removc� same upori notice from the City and ta replace all public property <br /> damage:d therebq, <br /> PN��c�l S �tT. (� 9. 4 l I- J,�Ro�4bw e�y <br /> t"k PR �'��-Te I'�a-P. <br /> 1�,it H .ti.27 �c rF¢P <br /> _ � � <br /> �!r'r � - <br /> / �'t �, �iJ 3 <br /> �C�`'� �/1 l�, � <br /> � <br /> � <br /> I <br /> I . <br /> I <br /> Y <br /> Signe3 i" r.l�� L� ���-��� —.__�� Oamer <br /> . '��C`bK �M� iiontractor <br /> f�(�������j . <br /> � :;. <br /> �,:� � <br /> q}n <br /> '' ( # <br /> t <br /> , e <br /> S4c <br />